PATRICIA WALLACE

LOS ANGELES, CA
NPI1215398722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  113122)
Enumeration Date2016-03-10
Last Update Date2021-07-01
Business Address
Ms. PATRICIA WALLACE PSYD, LMFT
864 S ROBERTSON BLVD STE 103
LOS ANGELES, CA 90035-1622
Phone number: 818-732-6660
Mailing Address
Ms. PATRICIA WALLACE PSYD, LMFT
10231 RIVERSIDE DR APT 306
TOLUCA LAKE, CA 91602-2559
Phone number: 310-930-3332
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